Organization
KHUSHE INC
Active
Other names
Munford Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAL PATEL RPH (PRESIDENT)
(901) 840-1998
Entity
Organization
Contact information
Practice address
99 DOCTORS DR, STE 100, MUNFORD, TN 38058-6305
(901) 840-1998
(901) 840-1975
Mailing address
99 DOCTORS DR, STE 100, MUNFORD, TN 38058-6305
(901) 840-1998
(901) 840-1975
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
25914
TN
3336C0003X
Community/Retail Pharmacy
Primary
25914
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4442911
NCPDP
—
Enumeration date
10/02/2012
Last updated
10/02/2012
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